NUR3010: Chapter 6- PrepU Quizzes
When coping mechanisms are overused, the client becomes
dysfunctional.
Brain cell death may occur in as little as:
3 minutes
A nurse is assessing a patient with posttraumatic stress disorder (PTSD) who is exhibiting physiologic manifestations. The nurse interprets these manifestations as being the result of which of the following?
Increased sympathetic activity
Cells in which organ are unable to regenerate?
Brain
The nurse is instructing a community education class on stress. The nurse asks the participants, "Is all stress bad for you?" Which answer by the participants is most accurate?
"No, the right amount of stress can be motivating to accomplish goals."
A nurse is assessing an adult and suspects that the patient is experiencing anxiety. Which statement(s) would support the nurse's suspicions? Select all that apply.
"I've been having palpitations lately." "It seems like my mind is all over the place." "It seems like everything is really annoying me.
After teaching nursing students about substance abuse and its effects on individuals and families, the instructor determines that additional teaching is necessary when the students state which of the following?
"Individuals frequently engage in substance use and abuse to enhance their decision-making ability."
A nurse is working in a university health center. A 20-year-old client comes to the center with vague complaints. The client states that she's been cramming for a final examination scheduled for the next day. The nurse suspects that the client is experiencing anxiety. Which of the following statements from the client would most support the nurse's suspicions?
"My stomach feels really upset--sometimes like I'm going to vomit."
A client with diabetes whose husband recently died reports elevated blood glucose levels. She admits she is barely eating anything; she does not feel hungry. How will the nurse best respond to this client?
"Often with stress, glucose level increases because the body needs more energy."
A nurse is giving discharge instructions to a client who came to the emergency department following an ankle sprain. The client asks "Why does this hurt so much?" Which response would be most appropriate from the nurse?
"The nerves are being stimulated by the pressure from the swelling at the sprain."
While interviewing the wife of a patient with multiple health problems, the spouse states, "I'm not the one who is ill, but I feel like I'm getting sick all the time." Which response by the nurse would be most appropriate?
"When one family member becomes ill, other members are affected."
A client who has been confined to bed for more than 1 year is concerned about the shrinking size of his legs. How will the nurse respond to the client's concern?
"With decreased use of your legs, the cell size reduces."
For a person to be clinically depressed, signs of a depressed mood or depressed interest in pleasurable activities must occur for at least
2 weeks.
The physician tells a client, "You are lucky. This episode of chest pain is a warning sign." How can the nurse explain to the client what the physician means?
A decrease in blood supply to the heart causes stress to cells through the perception of pain.
Which of the following responses is most helpful to the client when in an emergency situation?
A response by the sympathetic nervous system
Which of the following factors are implicated in the development of heart disease?
Frequent activation of the sympathetic nervous system
A nurse is teaching a group of families who have members experiencing addiction about this problem. Which of the following, if stated by the families, indicates that the teaching was successful?
Addiction is not a result of a person having moral faults.
A client has an abnormal result on a Papanicolaou test. The client asks the nurse what dysplasia means. Which definition should the nurse provide?
Alteration in the size, shape, and organization of differentiated cells
A nurse identifies a nursing diagnosis of spiritual distress for a patient based on assessment of which of the following? Select all that apply.
Anger Ambivalence Despair
The nurse is caring for a client with diabetes who has an infection. The nurse creates a plan of care for the client based on a knowledge of the hypothalamic-pituitary response to stress by including which nursing intervention in the plan of care?
Assessment for hyperglycemia
A client is experiencing difficulty speaking and numbness on his right side. His wife calls a neighbor who is a nurse for help. Upon arrival at the scene, the nurse calls 911 immediately. Which of the following displays the nurse's critical clinical judgment?
Brain cells without oxygen die in approximately 3 to 6 minutes.
A nurse assesses that a patient is at increased risk for depression based on which of the following?
Co-existing medical problems
The nurse is working with a client who is in a stressful situation. The nurse evaluates the client's resiliency by assessing the client's ability to do what?
Continue to function well
The nurse is evaluating a client's social support network. The nurse knows that the network will assist the client in coping with stress when which action is noted?
Daughter helps mother with laundry.
A client is diagnosed with posttraumatic stress disorder (PTSD). Which finding would the nurse most likely assess?
Diaphoresis
Which of the following conditions triggers the general adaptation syndrome?
Distress
Impaired balance and uncontrolled tremors of Parkinson's disease is correlated with which neurotransmitter?
Dopamine
The nurse is caring for a client diagnosed with Parkinson's disease. The nurse is most correct to correlate the client's uncontrolled tremors as a physical characteristic of a lack of which neurotransmitter?
Dopamine
Which therapy aims at correcting the underlying biochemical abnormality and is useful for depression?
Drug therapy
A nurse has developed a plan of care for a patient with a nursing diagnosis of "risk for spiritual distress." Which interventions would the plan most likely include? Select all that apply.
Encourage the patient to talk about his or her faith. Actively listen to the patient. Demonstrate acceptance of the patient.
A client comes to the emergency department with swelling in the left knee. The nurse is aware of the cardinal signs of inflammation occurring in the knee. Identify the correct cardinal signs of inflammation. Select all that apply.
Erythema Warmth
A deep vein thrombosis (DVT) results in vascular vasodilation, local tissue congestion, and increased capillary permeability. The nurse would expect to see which of the following body responses in a client with a DVT?
Erythema and pain
Which of the following would be the priority when providing care to a client with posttraumatic stress disorder (PTSD)?
Establishing a trusting nurse-client relationship
When providing care to a patient with anxiety, which intervention would be the highest priority?
Exploring appropriate coping strategies
What is the term for an adaptation to environmental stress that occurs when tissue mass enlarges due to cell multiplication and increased stimulation?
Hyperplasia
Which term best describes an increase in the number of new cells in an organ or tissue that is reversible when the stimulus for production of new cells is removed?
Hyperplasia
A patient has a hemoglobin level of 7 g/dL. What should the nurse be alert to assess for?
Hypoxia
Which of the following would a nurse least likely assess in a client experiencing anxiety?
Positive self-talk
A client has gastroenteritis. He not only has diarrhea and dehydration but also complains of feeling very warm. What systemic response may the client experience with this inflammatory infection?
Increased body temperature
Which condition is a sympathetic-adrenal medullary response to stress?
Increased heart rate
Students are reviewing information about substance abuse and its effects on individuals and families. The students demonstrate understanding of this topic when they identify which of the following?
Individuals with substance abuse often have difficulty using adaptive behaviors.
A nurse is reviewing the medical record of a patient diagnosed with clinical depression. Which of the following would the nurse identify as absolutely essential criteria for this disorder? Select all that apply.
Loss of pleasure or interest Depressed mood
According to Wright & Leahey (2005), which family function incorporates the use of power and decision making about resources?
Management
When assessing a family, the nurse gathers data about who assumes the primary responsibility for decision making and finances. The nurse is assessing which family function?
Management
What should the nurse do when caring for a client with alcoholism who is diagnosed with Imbalanced Nutrition: Less than Body Requirements?
Obtain a baseline weight
Which of the following patients would the nurse identify as LEAST likely to be experiencing loss?
Patient who is abusing substances
Which of the following would least suggest emotional health?
Realistic sense of hopelessness
Which type of healing occurs when the edges are not approximated and the wound fills with granulation tissue?
Second-intention
When a person thinks about whether it is possible to do something about a situation, they are exhibiting what type of appraisal?
Secondary
A nurse is assessing a client and attempting to differentiate if the client is experiencing grief or depression. Which of the following would the nurse identify as indicative of grief?
Self-blame
During a family assessment, the mother states, "When I was a child, we always had a special dinner on Christmas Eve, that my mother had when she was a child. Now our family follows the same tradition." The nurse interprets this statement as indicating which family function?
Socialization
During an interview, a patient states, "I don't know why God is punishing me like this." The nurse would most likely identify which nursing diagnosis as a priority?
Spiritual distress
The nurse is caring for a client who appears to be having difficulties coping with a problem that has recently developed. The lack of coping skills has manifested in the client displaying a great deal of anxiety. The nurse should know that in what order the neuroendocrine system responds to an actual or perceived threat? Place in the correct order.
Stressor Autonomic nervous system Hypothalamus/pituitary/adrenal axis Failure of body systems
When assessing a client for manifestations of posttraumatic stress disorder (PTSD), which of the following would the nurse expect to assess? Select all that apply.
Strong startle response Lack of impulse control Nightmares
When caring for a family who is coping with a crisis illness situation, which family function would the nurse identify as being most crucial?
Support
A 12-year-old boy taken to the emergency department after a soccer injury cries out, "Look, my leg is bigger now!" How will the nurse respond to the boy?
Swelling is a normal response from your body to prepare for healing.
The nurse is caring for a client with hypoxia. What is the nurse's consideration with regards to the client experiencing brain cell death?
The client may have brain cell death in 3 to 6 minutes.
In the postanesthesia care unit (PACU), an elderly client begins to behave erratically and is yelling out to the staff. What factor may be contributing to this behavior?
The client received pain medication prior to arrival in the PACU.
Which statements about the placebo effect are correct? Select all that apply.
The placebo effect often is used as an example of how the mind and body are connected. The placebo effect refers to the healing or improvement that takes place simply because the individual believes a treatment method will be effective.
When describing the term "grief" to a group of students, which of the following would the instructor include?
The response experienced by anyone who has suffered a loss
The nurse is assessing a postoperative client's surgical incision site. The nurse anticipates which finding?
Wound edge approximated
A nurse correctly instructs a client with peripheral vascular disease that stress-reduction techniques:
are helpful because stress stimulates the release of vasoconstricting catecholamines.
Which newest diagnostic tool might be efficient in diagnosing psychobiologic disorders in the future?
brain mapping
The immune system and the brain communicate with each other through the chemical messenger system using neurotransmitters and immunopeptides. Stress impacts the immune system in what way?
can lower the number of white blood cells, the immune system's disease fighters
The general adaptation syndrome (GAS) is a nonspecific physiologic response to a stressor. Which stage is not a part of the process?
stress awareness stage
The nurse is using progressive muscle relaxation with a client to reduce stress. What will the nurse teach the client to do?
tense and relax specific muscles
